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一项力量训练计划对 2 型糖尿病老年患者的功能能力、身体平衡和下肢肌肉力量的影响。

Effects of a power training program in the functional capacity, on body balance and lower limb muscle strength of elderly with type 2 diabetes mellitus.

机构信息

Exercise Pathophysiology Laboratory, Rio Grande do Sul Federal University, (Universidade Federal do Rio Grande do Sul, UFRGS), Porto Alegre, Brazil -

Exercise Pathophysiology Laboratory, Rio Grande do Sul Federal University, (Universidade Federal do Rio Grande do Sul, UFRGS), Porto Alegre, Brazil.

出版信息

J Sports Med Phys Fitness. 2021 Nov;61(11):1529-1537. doi: 10.23736/S0022-4707.21.11880-8. Epub 2021 Jan 22.

Abstract

BACKGROUND

The effects of interventions with muscle power training on balance and functionality in individuals with type 2 diabetes mellitus (T2DM) are still poorly investigated. We evaluated the efficacy of a twelve-week power training program in the functional capacity, balance and lower limb muscle power and strength of elderly with T2DM.

METHODS

Twenty-one subjects (14 women and seven men) were allocated into two groups. One of the groups (PTG) performed a power training program twice a week (N.=11; age 70.5±7.8 years old), and the other was an active control group (CG) that performed a weekly stretching session (N.=10; age 66±3.2 years old). Outcomes of interest were assessed at baseline and after 12 weeks, these included functional capacity, balance, muscle strength and power.

RESULTS

The PTG participants improved their dynamic balance (P=0.027) and decrease in the time to perform the gait speed test (P<0.001), evaluated by the short physical performance battery (SPPB). Also showed a statically significant change muscle power (P=0.034) and maximal dynamic knee extension strength (P=0.023), with increments of 24% and 34%, respectively, in comparison to the CG. Both groups showed significant changes in the performance of the five-times-sit-to-stand test (P<0.001) and the SPPB score (P=0.001).

CONCLUSIONS

The power training program was able to promote improvements in some functional parameters as on the body balance and functional capacity and muscle strength of the elderly with T2DM. The training method was effective and safe, with no adverse effects during sessions.

摘要

背景

干预肌肉力量训练对 2 型糖尿病(T2DM)患者平衡和功能的影响仍知之甚少。我们评估了为期 12 周的力量训练计划对 T2DM 老年患者功能能力、平衡以及下肢肌肉力量和力量的疗效。

方法

21 名受试者(14 名女性和 7 名男性)分为两组。其中一组(PTG)每周进行两次力量训练(N.=11;年龄 70.5±7.8 岁),另一组为主动对照组(CG)每周进行一次伸展运动(N.=10;年龄 66±3.2 岁)。在基线和 12 周后评估感兴趣的结果,包括功能能力、平衡、肌肉力量和力量。

结果

PTG 组参与者的动态平衡得到改善(P=0.027),步态速度测试时间减少(P<0.001),通过短体适能电池(SPPB)评估。还显示肌肉力量(P=0.034)和最大动态膝关节伸展力量(P=0.023)有统计学意义的变化,分别增加了 24%和 34%,与 CG 相比。两组在五次坐立测试(P<0.001)和 SPPB 评分(P=0.001)的表现均有显著变化。

结论

力量训练计划能够改善 T2DM 老年患者的一些功能参数,如身体平衡和功能能力以及肌肉力量。该训练方法有效且安全,在训练过程中没有不良反应。

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